BreakdownofRickettsiaeandsimilarbacteriaͲ AdamDeal

Thursday,January21,2010
4:57PM

BreakdownchartofRickettsiaeandsimilarbacteria:

Organism Disease Reservoir Vector Importantfeatures Diagnosis Treatment Giveaway

Rickettsia RockyMountain Dogs Tick - Endothelialcells - Rashonpalms 1. Doxycycline •• Palmar
rickettsii Spottedfever Rodents - Obligateintracellular andfeet 2. Chloramphenicol rash
parasite - OXͲ2+
- ATPdependentcell - OXͲ19+
entry
Rickettsiaakari RickettsialPox Housemice Mites - Endothelialcells - (negative) 1. Doxycycline •• Mitey
- Obligateintracellular WeilͲFelixRX 2. Chloramphenicol mouse
parasite - Vesicularrash
Rickettsia EpidemicLouseͲ Humans Humanbody - Endothelialcells - Rashontrunk 1. Doxycycline •• ProͲwar
prowazekii borneTyphus Flying louse - Obligateintracellular - Norashon 2. Chloramphenicol •• Louse
(BrillͲZinsser squirrels parasite handsorfeet 3. Eradicatehuman
disease) - Gangreneof lice
handsand
feet
- OXͲ19+
Rickettsiatyphi Endemic Rats Flea - Endothelialcells - Rashontrunk 1. Doxycycline
(Murine)Typhus Rodents - Obligateintracellular - OXͲ19+ 2. Chloramphenicol
parasite
Orientia Scrubtyphus Mites* Chigger(mite - Endothelialcells - Rashontrunk 1. Doxycycline •• Sumo
tsutsugamushi Rat larvae) - Obligateintracellular - OXͲK+ 2. Chloramphenicol Ricky
Shrew parasite
Mongoose - Japan,S.Pacific,etc.
Birds
Bartonella Trenchfever Humans Humanbody - Endothelialcells - Rashontrunk 1. Doxycycline
quintana (Bacillary louse - Facultativeintracellular - Backandleg 2. Chloramphenicol
angiomatosis) parasite pain 3. Azithromycin
Bartonella CatScratch Cats Catbiteor - Endothelialcells - Localized 1. Doxycycline
henselae Disease(fever) scratch - Facultativeintracellular lymphadenop 2. Azithromycin
(Bacillary parasite athy
angiomatosis)
Coxiella QFever Cattle (noarthropod - Monocytes - Doesnot 1. Doxycycline •• Caroll
Burnetii Sheep vectorrequired) - Obligateintracellular causearash 2. Erythromycin Burnet
Goats Inhaledfrom parasite atall 3. Pasteurizemilk
driedcowhide, - Cangrowin - Complement to60degrees
placenta phagolysosome fixationtest Celsius
Unpasteurized (pH4.5)
milk - Has endospore form
(resistsheatanddrying)
Erlichia Human Dogs Tick - Monocytes - Morulae (in 1. Doxycycline •• Inclusion
chaffeensis Monocytic (lonestartick) - Obligateintracellular monocytes) 2. Rifampin bodies
Erlichiosis parasite - Erlichiosis •• Resistantto
inclusion chloramphenico
bodies (in l
leukocytes)
Erlichia Human Dogs Tick - Neutrophils - Morulae (in 1. Doxycycline •• Inclusion
phagocytophila Granulocytic (Ixodestick) - Obligateintracellular neutrophils) 2. Rifampin bodies
Erlichiosis parasite - Erlichiosis •• Resistantto
inclusion chloramphenico
bodies (in l
leukocytes)

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